| Brewster Family Dental, Pllc | |
|
504 N Main St Brewster NY 10509-1230 | |
| (845) 279-3482 | |
| (845) 278-1782 |
| Full Name | Brewster Family Dental, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 504 N Main St, Brewster, New York |
| Authorized Official Name and Position | Balu M Krishna (OWNER) |
| Authorized Official Contact | 9176968537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brewster Family Dental, Pllc 504 N Main St Brewster NY 10509-1230 Ph: (845) 279-3482 | Brewster Family Dental, Pllc 504 N Main St Brewster NY 10509-1230 Ph: (845) 279-3482 |
| NPI Number | 1528776630 |
|---|---|
| Provider Enumeration Date | 11/08/2022 |
| Last Update Date | 11/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528776630 | NPI | - | NPPES |
| 04513535 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Brewster Family And Cosmetic Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N Main St, Brewster, NY 10509 Phone: 845-279-3482 Fax: 845-278-1782 | |
Brewster Family And Cosmetic Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 504 N Main St, Brewster, NY 10509 Phone: 845-279-3482 | |
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